IndividualActive
Alix Shantz
NPI 1396613576 · Sports Dietetics Nutrition Registered Dietitian · Springfield, MO
Provider details
- NPI number
- 1396613576
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86114968 (MO)
Mailing address
690 S Crader Ct
Springfield, MO 65802-9753
Registry dates
- Enumerated
- 2025-10-28
- Last updated
- 2025-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.